Abstract
At present, many studies support the notion that after stroke, remote regions connected to the infarcted area are also affected and may contribute to functional outcome. In the present study, we have analyzed possible microanatomical alterations in pyramidal neurons from the contralesional hemisphere after induced stroke. We performed intracellular injections of Lucifer yellow in pyramidal neurons from layer III in the somatosensory cortex of the contralesional hemisphere in an ischemic stroke mouse model. A detailed 3-dimensional analysis of the neuronal complexity and morphological alterations of dendritic spines was then performed. Our results demonstrate that pyramidal neurons from layer III in the somatosensory cortex of the contralesional hemisphere show selective changes in their dendritic arbors, namely, less dendritic complexity of the apical dendritic arbor—but no changes in the basal dendritic arbor. In addition, we found differences in spine morphology in both apical and basal dendrites comparing the contralesional hemisphere with the lesional hemisphere. Our results show that pyramidal neurons of remote areas connected to the infarct zone exhibit a series of selective changes in neuronal complexity and morphological distribution of dendritic spines, supporting the hypothesis that remote regions connected to the peri-infarcted area are also affected after stroke.
Keywords: cerebral cortex, dendritic spines, intracellular injections, neuronal complexity, tMCAo
Introduction
Stroke is one of the major causes of death and disability worldwide (Donnan et al. 2008). While progress has been made in the prevention, treatment, and knowledge of stroke over the past decade, more effective therapeutic approaches are still needed to improve the quality of life of the patients. In this regard, a number of studies indicate that, after a stroke, remote regions connected to the infarcted area are also affected and may contribute to functional outcome. This process, known as diaschisis, occurs for example in the contralesional hemisphere, affecting the performance of the whole brain, and it may be involved in the suppression of functional recovery after stroke. Diaschisis can appear soon after ischemia and persist for weeks (Duering et al. 2012; Silasi and Murphy 2014; Buetefisch 2015). Currently, the primary mechanism of diaschisis is thought to be a loss of neuronal input from the damaged area, also defined as deafferentation (Butz et al. 2014). In humans, the neocortex is highly exposed to ischemic stroke, and in animal models of ischemia, it has been demonstrated that pyramidal neurons are more sensitive to ischemic stroke than other types of neuronal cells (Freund et al. 1990).
Pyramidal neurons are the most common cell type and the main projection neurons in the cerebral cortex. The dendritic structure of pyramidal neurons can be divided into 2 types according to their dendritic arbors—apical and basal. The apical dendritic arbor consists of a prominent main apical dendrite (arising from the upper pole of the pyramidal cell body) directed radially towards the pia mater, giving off several oblique apical collateral dendrites. In general, the distal portion of the apical dendrite forms a tuft of branches (apical dendritic tuft). The basal dendritic arbor is made out of a system of dendrites that arise from 3 to 6 primary dendrites from the base of the soma, which are directed laterally or downwards (DeFelipe and Fariñas 1992).
In addition, it is well established that the basal and apical arbors have different morphological and functional features and are involved in different synaptic circuits (DeFelipe and Fariñas 1992; Spruston 2008; Larkum 2013; Harris and Shepherd 2015; Mel et al. 2017; Gidon et al. 2020). More specifically, in the somatosensory cortex (SSCx), it has been shown that the precise function of the pyramidal neurons depends on the cortical layer location (see for example Brecht 2017).
The pattern of dendritic arborization of a pyramidal neuron is related to the degree of information integration and synaptic plasticity induction. It is widely accepted that the dendritic tree structure influences the biophysical and computational properties of neurons, modulating the cortical circuitry (Häusser et al. 2000; DeFelipe 2011; Stuart and Spruston 2015). The shape of the dendritic arbors of pyramidal neurons has been linked to a maximization of the connectivity patterns between dendrites and surrounding axons (Wen et al. 2009; Tang et al. 2019). It has been suggested that dendritic arbors are the synaptic input units rather than individual dendrites, in line with the notion that dendritic spines are part of a complex system as opposed to being single functional units (Jia et al. 2010; Leguey et al. 2018). Furthermore, dendritic spines (for simplicity, spines) are considered as the major postsynaptic elements of excitatory glutamatergic synapses (DeFelipe and Fariñas 1992; Harris and Kater 1994; DeFelipe 2015). Therefore, changes in the number of spines are indicative of differences in the number of excitatory inputs that pyramidal cells receive. Moreover, spines are plastic structures and are considered crucial to memory, learning, and cognition—and their formation and elimination have been linked to memory storage capacity (Bourne and Harris 2007; Spruston 2008; Yuste 2010; Kandel et al. 2014; DeFelipe 2015).
Therefore, analyzing possible microanatomical changes in pyramidal neurons under different pathological conditions—such as after an ischemic stroke—provides an excellent opportunity to study neuronal dysfunction in cortical circuits, offering useful information to develop new diagnostic approaches and treatments for patients with focal or global cerebral ischemia.
In this regard, synaptic failure has been described as a key process in neuronal damage in ischemic stroke, even in the absence of neuronal death (Jeannette and van Putten 2012). In the ipsilateral hemisphere, alterations in neuronal complexity and synaptic plasticity have been suggested as valuable therapeutic targets (Takamatsu et al. 2016; Zhu et al. 2017; Lin et al. 2018; Xie et al. 2019).
However, pyramidal neurons in distinct cortical regions and in different layers participate in different synaptic circuits and cortical functions (Barbas 2015; D’Souza and Burkhalter 2017; Rockland 2019). Furthermore, there are significant differences in the microanatomy of these cells between cortical areas in the mouse cerebral cortex (Benavides-Piccione et al. 2006; Ballesteros-Yáñez et al. 2010). Moreover, it has been reported that the SSCx is especially vulnerable to ischemic insults, with pyramidal neurons from layer III being exceptionally sensitive to ischemia (Lin et al. 1990). In this regard, pyramidal neurons from layer III have been suggested as the main transcallosal projection neurons in the cerebral cortex (Chovsepian et al. 2017). The SSCx has been described as a crucial region in the processing of afferent somatosensory inputs and is essential for emotion processing, including the generation of emotional states and sensorimotor integration. SSCx function is involved in each stage of emotion processing and therefore plays an important role in the pathophysiology of many neuronal disorders (Kropf et al. 2018).
In the present study, we have analyzed whether neuronal complexity, spine density, and morphology are impaired in the contralesional hemisphere after induced stroke using intracellular injections. Since this technique—together with the reconstruction of the labeled cells—represents a very time-consuming approach, we chose to study the structure of layer III pyramidal neurons, which probably project to the ischemic lesions (Fenlon et al. 2017). For this purpose, we performed intracellular injections of Lucifer yellow (LY) in pyramidal neurons from layer III in the SSCx of the contralesional hemisphere in an ischemic mouse model that produces a large ipsilateral lesion. Our results show that in the contralesional SSCx, pyramidal neurons from layer III show certain morphological alterations, mostly leading to less complexity of the apical dendritic arbor, including a significant decrease in dendritic length and dendritic volume. In addition, we found differences in spine morphology in both apical (main apical and collateral dendrites) and basal dendrites, but no changes in their density. Thus, the present results show a series of selective changes in pyramidal neurons in the contralesional SSCx after a large lesion induced by an experimental stroke.
Materials and methods
tMCAo model
Experiments were performed on adult male C57BL/6N mice (12–16 weeks old; body weight, 23–26 g; Charles Rivers Laboratories). All experimental procedures were conducted in accordance with European regulations, the ethical committee of Upper Bavaria (Vet 2-15-196) and in compliance with the ARRIVE (Animal Research: Reporting In Vivo Experiments) criteria (Kilkenny et al. 2010).
The left middle cerebral artery (MCA) was occluded for 60 min, inducing a transient cerebral ischemia (tMCAo). The mice were anesthetized with 4% isoflurane (balanced with 30% O2 and 65% N2) and maintained with 1.5%–2% isoflurane for the duration of surgery. The body temperature was maintained at 37 °C using a feedback-controlled heating pad. A silicon-coated filament (# 701912PK5Re, Doccol) was inserted and pushed through the common carotid artery until the MCA had been reached. Reperfusion was induced by withdrawal of the filament after 1 h of occlusion, as previously described elsewhere (Lourbopoulos et al. 2017). The occlusion was confirmed by decreased regional cerebral blood flow monitored by a laser Doppler probe fixed to the skull above the tMCAo territory and the vital parameters were monitored by a pulse oximeter (Supplementary Fig. 1). Wounds were treated with povidone-iodine and sutured; the mice received an injection of saline (1 mL s.c.; B Braun Melsungen) and were placed in a 32 °C recovery chamber until motor function had been fully recovered. The mice were then returned to their home cage and received postoperative care, including injections of fluids and jelly food feeding supplemented at the bottom of the cage for 10 days, as previously described elsewhere (Lourbopoulos et al. 2017). Sham-operated mice underwent the same surgery without occlusion of the MCA and followed the same postoperative care.
Intracellular injections and confocal microscopy
For intracellular injections, 12 weeks after tMCAo induction, the animals were anesthetized by intraperitoneal injection of midazolam (5 mg/kg; Braun, Melsungen, Germany), fentanyl (0.05 mg/kg; Jansen-Cilag, Neuss, Germany), and medetomidine (0.5 mg/kg; Pfizer, Karlsruhe, Germany)—and then intracardially perfused with phosphate buffer pH 7.4 (PB) followed by 4% paraformaldehyde (PFA). The brains were then postfixed in PFA for 24 h.
Coronal sections (150 μm thick) were obtained on a vibratome and were then prelabeled with 4,6-diamino-2-phenylindole (DAPI; Sigma, St. Louis, MO) to visualize the nuclei. Pyramidal neurons from layer III in the Barrel field of the SSCx were individually injected with LY by continuous current, as previously described (Benavides-Piccione et al. 2013). Finally, the sections were mounted in glycerol (50% in 0.1 M PB, 0.1% azide) and studied via confocal microscopy. The sections immediately adjacent (50 μm either side of the 150 μm thick sections) were Nissl-stained in order to identify the cortical areas and the extent of the ischemic lesson.
This intracellular injection technique exhibits several methodological limitations, reducing the total number of LY-injected neurons that are suitable for the statistical analysis. Unfortunately, the diffusion of the LY up to the tip of the dendrites fails in many neurons and, therefore, they have to be discarded from the analysis. In addition, the percentage of the basal and apical arbors included may vary depending on how parallel the main apical dendrite runs with respect to the surface of the slice and how deep in the section the labeled neuron is located. In the present study, the statistical analysis of the main apical dendrites included only neurons that showed a main apical dendrite with a length of at least 180 μm (see Benavides-Piccione et al. 2020 for further details).
Imaging was performed with a ZEN inverted scanning confocal system (Zeiss LSM 710; Carl Zeiss Microscopy GmbH, Jena, Germany) using a 488 nm Argon laser and 405 nm UV. The fluorescence of DAPI and Alexa 488 was recorded through separate channels.
For spine morphology analyses, complete dendrites were recorded in image stacks at 0.14 μm intervals with a 63× oil immersion lens (Numerical aperture, NA: 1.40; refraction index, 1.45) and zoom 2.3 (image resolution: 1,024 × 1,024 pixels; pixel size: 0.06 μm). No pixels were saturated within the dendritic spines.
For neuronal reconstruction, neurons from layer III of the SSCx were recorded at 0.45 μm intervals with a 40× oil immersion lens (NA: 1.3; refraction index, 1.51) and 0.9 zoom (image resolution: 1,024 × 1,024 pixels; pixel size: 0.23 μm). After acquisition, the stacks were coded to randomize the stroke and sham conditions and these codes were not broken until the quantitative analysis had been completed.
3D reconstruction
Neurons were reconstructed in 3D using Neurolucida 360 software (MicroBrightField Inc., Williston, VT). The confocal images of the dendritic arbors were analyzed by tracing the neuronal structure in both apical and basal dendritic trees. After tracing, the reconstructed data were exported to Neurolucida Explorer (MicroBrightField Inc., Williston, VT) for quantitative analysis.
Dendritic arbor complexity was assessed by measuring several morphological parameters as a function of the distance from the soma, creating concentric spheres—centered on the cell body—of increasing 10 μm radii (Sholl analysis). All the morphological parameters analyzed in the present study (dendritic length, dendritic volume, number of intersections, number of nodes, dendritic surface area, and dendritic diameter) were calculated using Neurolucida Explorer as described in Benavides-Piccione et al. (2006).
Regarding spine density and spine morphology analyses, for main apical dendrites, only 100 μm of dendritic length from the cell body were included in the analysis. In apical collateral and basal dendrite analyses, only complete dendrites were analyzed. In addition, spine density in main apical, apical collateral, and basal dendrites was calculated for each dendrite by dividing the number of spines by dendritic length. For spine analysis, the spines were marked during tracing with all protrusions considered as spines, applying no correction factors to the spine counts. For further analysis, spine density, spine volume, and spine length per dendrite were measured as a function of the distance from the soma for main apical and basal dendrites and from the apical trunk for apical collateral dendrites.
Immunofluorescence and synaptopodin-positive puncta quantification analysis
Free-floating coronal sections (50 μm thick) were used for double immunofluorescence. First, the slices were blocked for 1 h in PB (0.1 M) with 0.25% Triton X-100 and 3% normal goat serum (Vector Laboratories Inc., Burlingame, CA, USA). The sections were then incubated at 4 °C for 48–72 h in the same solution with rabbit anti-synaptopodin (SE-19; S9442; Sigma; 1:500) and mouse anti-NeuN (1:2,000, Chemicon) primary antibodies. After rinsing in PB, the sections were incubated for 2 h at room temperature with Alexa Fluor 488-coupled goat anti-rabbit and Alexa Fluor 594-coupled goat anti-mouse antibodies (1:1,000; Molecular Probes). The sections were then rinsed in PB, counterstained with DAPI, mounted, and coverslipped with ProLong Gold antifade reagent for immunofluorescence analysis (Life Technologies, Carlsbad, CA).
For synaptopodin-positive puncta quantification analysis, confocal microscopy was performed with a Zeiss LSM 710. Synaptopodin and NeuN immunostaining and DAPI staining were recorded through separate channels with a 63× objective (NA, 1.4). Z depth in every confocal stack was 0.14 μm. We scanned 10 image stacks from layer II to III of the SI (barrel field) and SII regions contralesional to surgery in tMCAo and sham-operated animals. For the quantification of the synaptopodin-positive puncta, Image J software (a 3D object counting tool) was used. The image stacks were cropped to ensure that they were restricted to areas of neuropil. Synaptopodin fluorescence was automatically enhanced, and then single-pixel background fluorescence was eliminated by de-speckling. The 3D object counting tool was then applied to collect data regarding the number of synaptopodin-immunoreactive (Sypo-ir) punctate elements, excluding those in contact with exclusion borders. Density values were obtained after normalization of the number of synaptopodin-positive puncta to the tissue volume of each stack.
Statistical analysis
To assure impartiality, all morphological analyses were performed blindly. The animals were coded and the assigned code was kept until the analyses were completed. To test the overall effect, unpaired Mann–Whitney test was used to compare the averages. To compare values as a function of the distance from the soma, Two-way ANOVA repeated measures (P and F values + interaction; degrees of freedom, df) followed by a post hoc multiple Bonferroni test were used. Kolmogorov–Smirnov test was used to perform the frequency distribution analyses. Data values are expressed as mean ± SEM. In all cases, P < 0.05 was considered to be significant (* < 0.05, ** < 0.01).
Results
To examine whether ischemic stroke could induce microanatomical alterations in the contralesional hemisphere, we performed 594 intracellular injections with LY in pyramidal neurons from layer III in the SSCx of 5 sham-operated and 5 tMCAo mice (Fig. 1 and Supplementary Fig. 2).
Stroke decreases neuronal complexity in apical dendritic arbors of the contralesional hemisphere
To study if neuronal structure in the contralesional hemisphere could be altered after stroke, we evaluated the neuronal complexity of the dendritic arborization in both apical and basal dendritic arbors by measuring dendritic length, dendritic volume, number of intersections, number of nodes, dendritic surface area, and dendritic diameter (Fig. 2). All the morphometric parameters were analyzed as a function of the distance from the soma (Sholl analysis). In sections from tMCAo mice, only LY-injected neurons in the contralesional SSCx were selected for the analysis. For statistical analysis in apical arbors, 30 individual branches per group were analyzed. We found that the dendrites were significantly shorter in tMCAo compared to sham-operated mice (sham-operated = 73.82 ± 12.77 μm, tMCAo = 55.42 ± 9.4 μm; Sholl analysis = Two-way ANOVA, P < 0.0001; F = 4.96, df12; Bonferroni post hoc test P < 0.05; Fig. 3A). Dendritic volume was also significantly lower in tMCAo mice compared to sham-operated (sham-operated = 53.87 ± 6.77 μm3, tMCAo = 44.17 ± 5.89 μm3; Sholl analysis = Two-way ANOVA, P = 0.0008; F = 2.85, df12; Bonferroni post hoc test P < 0.05; Fig. 3B). Similar significantly lower values were found for the number of intersections (sham-operated = 5.54 ± 0.89, tMCAo = 4.21 ± 0.66; Sholl analysis = Two-way ANOVA, P < 0.0001; F = 4.31, df12; Bonferroni post hoc test P < 0.05; Fig. 3C) and dendritic surface area (sham-operated = 208.4 ± 31.88 μm2, tMCAo = 162.6 ± 24.55 μm2; Sholl analysis = Two-way ANOVA, P < 0.0001; F = 4.56, df12; Bonferroni post hoc test P < 0.05; Fig. 3D). However, no significant differences were found in tMCAo mice regarding the number of nodes (sham-operated = 1.07 ± 0.21, tMCAo = 0.78 ± 0.18; Sholl analysis = Two-way ANOVA, P = 0.2; F = 1.32, df12; Fig. 3E) and dendritic diameter (sham-operated = 0.99 ± 0.13 μm, tMCAo = 1.04 ± 0.13 μm; Sholl analysis = Two-way ANOVA, P = 0.99; F = 0.21, 12df; Fig. 3F). All statistical data are provided in Supplementary Tables 1 and 2.
Basal dendritic arbor complexity remains unaltered after ischemic stroke in the contralesional hemisphere
For the analysis of the neuronal complexity in basal arbors, we analyzed 30 individual branches per group. In basal dendritic arbors, none of the parameters analyzed yielded statistically significant differences between the 2 groups: dendritic length (sham-operated = 141 ± 21.7 μm, tMCAo = 147.6 ± 23.23 μm; Sholl analysis = Two-way ANOVA, P = 0.94; F = 0.16, df11; Fig. 4A), dendritic volume (sham-operated = 88.11 ± 10.60 μm3, tMCAo = 84.25 ± 10.49 μm3; Sholl analysis = Two-way ANOVA, P = 0.70; F = 0.29, df11; Fig. 4B), number of intersections (sham-operated = 12.39 ± 1.71, tMCAo = 11.89 ± 1.72; Sholl analysis = Two-way ANOVA, P = 0.98; F = 0.15, df11; Fig. 4C), dendritic surface area (sham-operated = 376.3 ± 51.62 μm2, tMCAo = 368.2 ± 52.32 μm2; Sholl analysis = Two-way ANOVA, P = 0.90; F = 0.22, df11; Fig. 4D), number of nodes (sham-operated = 1.66 ± 0.48, tMCAo = 1.66 ± 0.50; Sholl analysis = Two-way ANOVA, P = 0.84; F = 0.53, df11; Fig. 4E), or dendritic diameter (sham-operated = 0.86 ± 0.11 μm, tMCAo = 0.87 ± 0.11 μm; Sholl analysis = Two-way ANOVA, P = 0.99; F = 0.05, df11; Fig. 4F). All statistical data are provided in Supplementary Table 3.
Dendritic spine density is unaltered in the contralesional hemisphere after stroke
A detailed analysis of the spine density was performed in apical (main apical and collateral dendrites) and basal dendrites from SSCx pyramidal neurons in the contralesional hemisphere (Fig. 5). No statistical differences were found between the sham-operated and tMCAo groups with regard to main apical, apical collateral, or basal dendrites (Fig. 6).
For the main apical dendrite analysis, spine density was measured assessing a total dendritic length of 2,100 μm in sham-operated mice (21 dendrites; 0.69 ± 0.04 spines/μm, 1,795 spines) and 1,900 μm in tMCAo mice (20 dendrites; tMCAo: 0.79 ± 0.04 spines/μm, 1,966 spines; Mann–Whitney, P = 0.12; Fig. 6A).
In the apical collateral dendrite analysis, 21 dendrites per group were included. Spine density was measured assessing a total dendritic length of 2,390 μm in sham-operated and 2,130 μm in tMCAo mice (sham-operated 1.12 ± 0.06 spines/μm, 3,088 spines; tMCAo: 1.22 ± 0.05 spines/μm, 2,945 spines; Mann–Whitney test, P = 0.21; Fig. 6C). In the case of the basal dendrite analysis, 31 dendrites per group were included. Spine density was measured assessing a total dendritic length of 3,640 μm in sham-operated and 3,830 μm in tMCAo mice (sham-operated 1.18 ± 0.05 spines/μm, 4,343 spines; tMCAo: 1.19 ± 0.03 spines/μm, 4,254 spines; Mann–Whitney, P = 0.65; Fig. 6E).
As seen in Fig. 6, no significant differences in dendritic spine density as a function of the distance from the soma were found between the sham-operated and tMCAo groups for either main apical, apical collateral, or basal dendrites (Two-way ANOVA, P > 0.05; F = 1.51, df10; F = 1.45, df6; and F = 1.75, df7; Fig. 6B, D, and F, respectively).
Stroke induces dendritic spine morphology differences in both apical and basal dendrites
Analyses of dendritic spine morphology were performed in apical (main apical and collateral dendrites) and basal dendrites.
In the main apical dendrite analysis, no significant differences were found in spine volume between groups when it was analyzed as an average (sham-operated: 0.1 ± 0.04 μm3; tMCAo: 0.1 ± 0.03 μm3; Mann–Whitney test; P = 0.7; Fig. 7A); likewise, no significant differences were found when analyzed as a function of the distance from the soma (Two-way ANOVA, P > 0.05; F = 1.69, df8; Fig. 7B). Moreover, no difference was found in the spine length average between tMCAo (1.21 ± 0.04 μm) and sham-operated mice (1.31 ± 0.06 μm; Mann–Whitney test; P = 0.3; Fig. 7C)—or when analyzing spine length as a function of the distance from the soma (Two-way ANOVA, P > 0.05; F = 1.13, df8; Fig. 7D).
Regarding apical collateral dendrites, no significant differences were found in spine volume between groups when it was analyzed as an average (sham-operated: 0.16 ± 0.009 μm3; tMCAo: 0.16 ± 0.008 μm3; Mann–Whitney test; P = 0.8; Fig. 7E); likewise, no significant differences were found when analyzed as a function of the distance from the soma (Two-way ANOVA, P = 0.04; F = 2.0, df7; Fig. 7F). Moreover, no difference was found in the spine length average between tMCAo (1.41 ± 0.06 μm) and sham-operated mice (1.56 ± 0.05 μm; Mann–Whitney test; P = 0.06; Fig. 7G)—or when analyzing spine length as a function of the distance from the soma (Two-way ANOVA, P > 0.05; F = 1.89, df7; Fig. 7H).
Similarly, in the basal dendrite analysis, no significant differences were found in spine volume between groups when it was analyzed as an average (sham-operated 0.16 ± 0.009 μm3; tMCAo: 0.18 ± 0.007 μm3; Mann–Whitney test; P = 0.07; Fig. 7I) neither as a function of the distance from the soma (Two-way ANOVA, P > 0.05; F = 1.22, df8; Fig. 7J). Moreover, no difference was found in the spine length average between tMCAo (1.40 ± 0.02 μm) and sham-operated mice (1.45 ± 0.04 μm; Mann–Whitney test; P = 0.45; Fig. 7K)—or when analyzing spine length as a function of the distance from the soma (Two-way ANOVA, P > 0.05; F = 0.68, df8; Fig. 7L).
However, further analysis of the frequency distribution of the spine length and spine volume showed a significant difference depending on the type of dendrite between tMCAo mice and sham-operated mice. Using frequency distribution analysis, in main apical dendrites, statistical differences were found between groups when we analyzed spine volume (Kolmogorov–Smirnov, P = 0.004; Fig. 8A); however, no differences were found regarding spine length (Kolmogorov–Smirnov, P > 0.05; Fig. 8B).
In addition, no differences in apical collateral dendrites were found between groups when we analyzed spine volume (Kolmogorov–Smirnov, P > 0.05; Fig. 8C). However, statistical differences were found regarding spine length (Kolmogorov–Smirnov, P > 0.05; Fig. 8D) when we compared tMCAo with sham-operated animals. In basal dendritic arbors, we found statistical differences between the 2 groups with regard to both spine volume and spine length (Kolmogorov–Smirnov, P < 0.0001 and P = 0.0039, respectively; Fig. 8E and F).
Lack of changes in the density of Sypo-ir puncta in the neuropil
The density of Sypo-ir puncta was analyzed in the neuropil of layers II–III from SI (barrel field) and SII neocortical regions of the contralesional hemisphere, in tMCAo and sham-operated mice (Supplementary Fig. 3). This analysis was performed in 10 confocal stacks per case and region, taken from Sypo-ir and NeuN double-immunostained sections, counterstained with DAPI. Avoidance of NeuN- and DAPI-stained elements allowed the identification of neuropil regions that were cropped, in 3D, from original confocal stacks in order to estimate in 3D the density of Sypo-ir puncta per unit volume (Supplementary Fig. 3C–F). In layer III neuropil of SII, the number of Sypo-ir puncta/μm3 was very similar in tMCAo (207.0 ± 5.71) and sham-operated (209.7 ± 3.36) groups, and no significant differences were found between them (unpaired Mann–Whitney test). Similarly, in layer III neuropil of SI (barrel field), no statistically significant differences in Sypo-ir puncta density values were found between tMCAo (217.9 ± 5.96) and sham-operated animals (213.9 ± 3.21).
Discussion
Stroke is one of the leading causes of permanent adult disability and death in the aging population worldwide (Feigin et al. 2017). Although great advances have been made with regard to this medical condition, a better understanding of the underlying pathological process after stroke is needed. Nowadays, neuronal reorganization and neuronal plasticity are considered the key processes involved in brain recovery after stroke (Grefkes and Fink 2020). It is well known that the adaptation of the adult brain after stroke depends on the reorganization of surviving areas adjacent to the focal lesion, which are described as highly plastic areas exposed to neuronal rewiring (Carmichael et al. 2005; Li and Carmichael 2006; Brown et al. 2007, 2010). Moreover, there are studies showing that adjacent areas adopt new roles to compensate for the loss of function in the infarcted area (Dijkhuizen et al. 2001; Ling et al. 2001; Jaillard et al. 2005). It is also known that due to the diaschisis process, remote regions connected to the infarcted area are also altered after stroke. In this regard, it has been described that the contralesional hemisphere is indeed affected, but the plastic events underlying the pathological process in the remote regions remain relatively unexplored (Duering et al. 2012; Silasi and Murphy 2014; Buetefisch 2015). This type of diaschisis is known as transcallosal diaschisis (Reggia 2004). In the interhemispheric communication, the corpus callosum represents the largest commissure in the brain. Moreover, the loss of excitatory inputs from the damaged cerebral hemisphere to the intact contralateral cerebral cortex sent by the corpus callosum is considered as the primary mechanism responsible for transcallosal diaschisis (Ruan et al. 2017).
In the present study, we show—in a mouse model of ischemic stroke—that the pyramidal neurons in layer III of the SSCx in the contralesional hemisphere exhibit selective microanatomical alterations; we found lower neuronal complexity in the apical dendritic arbor (including a significantly lower dendritic length and dendritic volume) and spine morphological differences in main apical, apical collateral, and basal dendrites.
Alterations in the neuronal complexity and spine density of pyramidal neurons after stroke have been previously described in the peri-infarct zone (Gonzalez and Kolb 2003; Corbett et al. 2006; Ito Umeo et al. 2006; Brown et al. 2007). However, our results show—for the first time—that acute stroke selectively impairs neuronal and spine morphology in remote regions connected to the infarcted area.
It is well established that the integration of inputs within dendritic arbors is determined by factors such as the pattern of the neuronal dendritic branch. Moreover, the neuronal complexity influences the biophysical properties of the neuron, thereby regulating its functional capacity (Koch et al. 1982; London and Häusser 2005; van Elburg and van Ooyen 2010; Koleske 2013). Therefore, taking into consideration the results shown, the present study suggests a pyramidal cell dysfunction in the SSCx of the contralesional hemisphere after acute stroke in the tMCAo model. These alterations are presumably due to a loss of excitatory inputs from the damaged cerebral area to the contralateral region. It should be noted that we found a significant reduction in the neuronal complexity of the apical dendritic arbor but no differences in the basal dendritic arbor. Numerous studies have shown that the basal and apical dendritic arborizations from a single neuron collect specific synaptic inputs, with involvement in different information integrations and synaptic circuitries (DeFelipe and Fariñas 1992; Spruston 2008; Larkum 2013; Harris and Shepherd 2015; Mel et al. 2017; Aru et al. 2020; Gidon et al. 2020).
Regarding pyramidal neurons of layer III from the SSCx, different patterns of connections for the basal and apical trees have been shown. The basal dendritic tree of these neurons receives input mainly from layer IV neurons of its own cortical column, thus making connections at the local level. However, the apical dendritic trees of layer III neurons receive inputs from all the upper cortical layers, as far as layer I, which receive information from more distant areas, including the contralateral cortex (Feldmeyer 2012). Thus, our findings suggest that after an ischemic stroke, circuits involving apical and basal dendrites in the SSCx may be affected differently at the single-cell level.
Further physiological studies would be necessary to examine the potential impact of these morphological changes on the functional features of the contralateral pyramidal neurons.
We have also found that apical and basal dendrites show on average no differences in spine volume or length compared to the sham-operated animals. However, significant differences in frequency distribution of length and volume were found in the main apical, apical collateral, and basal dendrites. We do not know the functional significance of this differential distribution, but it could be the consequence of the high capacity of spines for plasticity (Yuste 2010; Ghani et al. 2017; Segal 2017), especially in the spines from the SSCx of adult mouse brain (Holtmaat et al. 2005). In this regard, using in vivo imaging, it has been demonstrated that the spines in the peri-infarct zone exhibit high plasticity that could contribute to brain recovery after injury (Brown et al. 2007).
Moreover, since spines are considered as the major postsynaptic elements of excitatory glutamatergic synapses (DeFelipe and Fariñas 1992; Harris and Kater 1994; DeFelipe 2015), we have also explored the possibility of spine dysfunction. We addressed this question by estimating the number of synaptopodin-positive puncta in the contralateral SSCx. Synaptopodin is a postsynaptic protein mainly found within the spines, specifically located in the spine apparatus—typically in large spines. The function of this protein seems to be crucial for spine plasticity, and microanatomical changes could be indicative of spine dysfunction (Deller et al. 2003; Czarnecki et al. 2005; Okubo-Suzuki et al. 2008; Vlachos et al. 2008; Jedlicka et al. 2009; Grigoryan and Segal 2016; Konietzny et al. 2019). We found no differences between tMCAo and sham-operated animals with regard to the density of synaptopodin-positive puncta. These results suggest that large spines endowed with spine apparatus are not affected in the contralesional hemisphere following medial cerebral artery occlusion, and thus, the synaptic function of this specific group of spines seems to be unaltered.
Our results show for the first time that areas that are remote from the infarct zone exhibit alterations in neuronal complexity and distribution of spines regarding their volume and length. Nevertheless, it should be noted that the method used to induce the ischemic lesion may induce remarkable differences in cortical and subcortical plasticity between studies (Gonzalez and Kolb 2003). In conclusion, the present results support the hypothesis that remote regions directly or indirectly connected to the peri-infarcted area are also affected after a stroke. However, additional experiments should be performed to further confirm the present results under other experimental conditions. For example, further tract-tracing experiments should examine whether neurons that project directly to the lesion side are more severely affected than the adjacent pyramidal neurons that do not project to the ischemic region. These experiments would help better understand the changes in brain circuits after stroke, which would facilitate the search for more effective therapeutic approaches.
Supplementary Material
Acknowledgments
We would like to thank Carmen Álvarez and Lorena Valdés for their helpful assistance and Nick Guthrie for his excellent text editing.
Contributor Information
Paula Merino-Serrais, Laboratorio Cajal de Circuitos Corticales, Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, Madrid 28223, Spain; Departamento de Neurobiología Funcional y de Sistemas, Instituto Cajal, CSIC, Madrid 28002, Spain.
Sergio Plaza-Alonso, Laboratorio Cajal de Circuitos Corticales, Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, Madrid 28223, Spain; Departamento de Neurobiología Funcional y de Sistemas, Instituto Cajal, CSIC, Madrid 28002, Spain.
Farida Hellal, Institute for Stroke and Dementia Research (ISD), University of Munich, Munich 81337, Germany; iTERM, Helmholtz center, Munich 85764, Germany.
Susana Valero-Freitag, Institute for Stroke and Dementia Research (ISD), University of Munich, Munich 81337, Germany.
Asta Kastanauskaite, Laboratorio Cajal de Circuitos Corticales, Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, Madrid 28223, Spain; Departamento de Neurobiología Funcional y de Sistemas, Instituto Cajal, CSIC, Madrid 28002, Spain.
Alberto Muñoz, Laboratorio Cajal de Circuitos Corticales, Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, Madrid 28223, Spain; Departamento de Neurobiología Funcional y de Sistemas, Instituto Cajal, CSIC, Madrid 28002, Spain; Departamento de Biología Celular, Universidad Complutense, Madrid 28040, Spain.
Nikolaus Plesnila, Institute for Stroke and Dementia Research (ISD), University of Munich, Munich 81337, Germany; Munich Cluster of Systems Neurology (Synergy), Munich 85764, Germany.
Javier DeFelipe, Laboratorio Cajal de Circuitos Corticales, Centro de Tecnología Biomédica, Universidad Politécnica de Madrid, Madrid 28223, Spain; Departamento de Neurobiología Funcional y de Sistemas, Instituto Cajal, CSIC, Madrid 28002, Spain; Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas. (CIBERNED), ISCIII, Madrid 28031, Spain.
Funding
This work was supported by the following grants: Network of European Funding for Neuroscience Research (ERA-NET NEURON, PCI2018-092874), the Spanish Ministerio de Ciencia, Innovación y Universidades (grant IJCI-2016-27658 to P.M.S. and grant PGC2018-094307-B-I00 to J.D.), the Interdisciplinary Platform Cajal Blue Brain (CSIC, Spain), the Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED, CB06/05/0066, Spain) and the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) under Germany's Excellence Strategy within the framework of the Munich Cluster for Systems Neurology (EXC 2145 SyNergy – ID 390857198) to NP. Conflict of interest statement. The authors declare that they have no competing interest.
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